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Individual

MAY BALOSBALOS PORCIUNCULA

Active
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Individual

MAY BALOSBALOS PORCIUNCULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME83011
FL
208M00000X
Hospitalist Physician
ME83011
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13393
BCBS - FL
FL
05
265103300
FL
01
P00471697
RR MEDICARE
FL
Enumeration date
11/24/2006
Last updated
11/18/2019
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